Determining Clinically Relevant Changes in Community Walking Metrics to Be Tracked by the VA as Part of Routine Care in Lower Limb Amputee Veterans

Abstract

The objective of this study is to define clinically meaningful change in the walking function of lower limb prosthetic users in order to more easily assess whether a patient is improving or declining in function over time. However, little is known about the natural fluctuations in walking metrics from week to week when walking function is stable versus clinically relevant changes in walking function. Therefore, it will be important to define meaningful change in walking function when interpreting the impact of prosthetic components, rehabilitation, and other treatments on real world walking. Recruitment has been completed and data collection is near completed. A total of 100 subjects have enrolled in the study: Veteran subjects n=55 and University of Utah subjects n=45. Preliminary analysis indicates that daily steps and distance walked may track most closely to perceived change in walking function. However, data collection is on-going and necessary before cut points that represent meaningful change is recommended.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2017
Accession Number
AD1043831

Entities

People

  • Teri Chou

Tags

DTIC Thesaurus Topics

  • Amputees
  • Biomedical Research
  • Communities
  • Data Analysis
  • Data Processing
  • Electronic Mail
  • Health Services
  • Hospitals
  • Lower Limb Amputees
  • Lower Limb Prostheses
  • Professional Development
  • Prostheses And Implants
  • Rehabilitation
  • Statistical Analysis
  • Technical Writing
  • Therapy
  • Universities

Readers

  • Computational Modeling and Simulation
  • Educational Psychology
  • Rehabilitation and Prosthetic Care for Military Service Members and Veterans with Limb Loss or Disability.